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Home My WebLink AboutDocumentation_Regular_Tab 09_12/14/2017 VILLAGE OF TEQUESTA � Community Development Department To: Mr. Michael Couzzo, Village Manager From: Ms. Nilsa Zacarias, AICP, Community Development Director Date: November 22, 2017 Ref.: Tequesta Brewing Company Special Event Application The Tequesta Brewing Company applied for a special event-Brewery Anniversary Party-to be held on lanuary 13, 2013 from 2:00 pm to 11:00 pm. Mr. Alex Redfearn, owner of the Plaza, and Mr. Dominick Vitale, property manager, provided authorization letters, see attached documents. The subject event will take place on the parking area of the Village Square Plaza. In order to accommodate the stage, the beer tent and the food table, the applicant is fencing eleven (11) parking spaces, see attached site plan. Since the projected number of attendees is 500 people; the subject application is required to be heard by the Village Council. Per Code Section 78-561(e)(3) Special Events "Any proposed special event whose attendance is contemplated to exceed 200 people in tota!shall require final approval by the village council which, after considering the recommendations of the community development director, the police chief and the village manager, may approve the application, deny the application in whole or in part; or approve the application with conditions." The application was reviewed by the Village staff as follows: - Police Department, Chief Jim McGrew-See attached review letter. - Fire Safety Department, Chief Joel Medina-See attached review letter. - Community Development, Nilsa Zacarias — Mr. Webster, the applicant, provided required Plaza authorization letters, and application form for Temporary Alcohol License. The applicant is required to provide an updated liability insurance, and he confirmed that the sublect insurance will be provided at the beqinninq of 2018, prior to the event date. In summary, the above Village staff reviewed and provided recommendations that will be taken into consideration by the Village Council. The subject application will be heard by the Village Counci) on December 14, Z017. 1 ��ouEsrq'� TEQUESTA POLICE DEPARTMENT �� , � i�i�v�d��r� �� \� s �tj: �.�� 1 �A�� MEMORANDUM ��' DEPT To: Michael Couzzo ----� � „ i �' �` � From: Jim McGrew _\ � ' �I , ,,_,,. Date: November 13, 2017 Subject: Tequesta Brewing Company (TBC) Anniversary Party This memo is in reference to Tequesta Brewing Company's anniversary party. The police department has two concerns; emergency vehicle access and security for the Tequesta Brewing Company. After reviewing the permit application, it appears that the police department will be able to access the shops near the Tequesta Brewing Company. The police department can enter the shopping center via the south parking lot entrance, or by the alleyway, behind the shops. The police department recommends the Tequesta Brewing Company hire extra private security personnel for the anniversary party. Due to the number of expected people, along with the consumption of alcoholic beverages, there is added potential for disturbances. ��: e�. �, � , � �� TBQO'� � !�'IL�AG� �F TEC�UEST� � � �'9 - �' � .= TEQUESTA FIRE-RESCUE � '� � ,. , ~^'%>. INTER-OFFICE MEMORANDUM '�r � '� ��;.: �. �8 RBSG4 DATE: 11/09/2017 FILE: Admin. 18-04 TO: Village Manager VIA: Chain of Com nd FROM: Chief Medin SUBJECT: Tequesta Brewing Company (TBC) Anniversary Party Issue: The prime concern with this event is accessibility for emergency vehicle personnel having clear access to enter the premises. The planned area has been evaluated and I believe that emergency vehicles will have accessibility. However, the intended party needs to ensure clearance is provided for the fire department to access fire hydrants, fire lanes and access fire department connections at all times. In addition, all vehicles must be parked in designated parking spaces. Should the event include the use of one or more tents, a $35.00 Fire Inspection Fee, and a certificate of flame resistance is required for each tent. Inspection will be done on the day of the event. - VILLAGE OF TEQUESTA pERMIT NO: �'�T- .�/�' COMMUNITY DEVELOPMENT DEPARTMENT submittal�ate: . - �q 345 Tequesta Drive Deposit Amount: /-'� `-! � � � Tequesta, Florida 33469 Phone: (561)768-0450 Fax: (561) 768-0698 SPECIAL EVENT PERMIT APPLICATION Any Village resident,or any Village business holding a current Village business tax receipt pursuant to ChapteE 70,ArtQc�e�Ts eligible to apply for and obtain a special event permit pursuant to Sec. 78-561. Any such resident or business that desires to conduct any type of special event within the Village must obtain a permit from the Village in order that the Village n�jr�d�q�a�L��7provide for the potential impacts created by the proposed event. A maximum of four (4) such permits shall be allowed per address or per business in any single calendar year. A special event that includes multiple addresses, for exampleRkitlk{A#►��sH6��9Ti3�1�€N6er, shall count as one event for each address captured by the special event permit. "Special Event" is any outdoor activity, gathering or group of persons, vehicles or both, organized and having a common purpose, upon public or private property,which is likely to inhibit the usual flow of vehicular or pedestrian traffic,which is likely to create noise in excess of that typically associated with the areas upon which the event is to occur,or which is likely to preempt or restrict use of property typically accessible by the general public. Examples of Special Events include, but are not limited to block parties,parades,races or walks,grand opening events,charity fundraisers,and other similar events not specifically permitted by the Village's zoning ordinance. Special Events that are sponsored by the Village and held on Village property shall be exempt from the provisions of this section. Written application must be submitted to the Village Community Development Department at least forty five(45)days prior to the date for which the Special Event is proposed;which application shall contain the following information: DATE OF SALE/EVENT: � � t� ' 'L�;;Y; HOURS: FROM: �L� TO: J I �� TYPE OF EVENT: �� f1J-.Vi'�Y'�-S�'�/'��Zy LOCATION OF EVENT: I ' ,Li-'�1� 7,�Lc'�r1t:7�,'(. "Z--%�- S• v S I�--�' �%�'C.U�� L PROPERTY OWNER: �--�%'l'�� _J J �-i-c= (Attach written consent of property owner of record.) Print Name CONTACT INFORMATION: SPONSOR or PERSON(5)RESPONSIBLE FOR EVENT: r�'�-��T ��%�=��— EMAIL: M�i L it:Zt<��t�'�;��%� C��.� MAILING ADDRESS: L� S• � "- � � �} J tft-Z,i�t��1 � L PHONE NO.: �l�� Z-�` 7�� 5 ��='�v��Y-{ • ,"�� '�(C: � FAX NO.: PROJECTED NUMBER OF ATTENDEES: ��-%�: COUNCIL APPROVAL REQUIRED: (�)YES ( )NO • Any proposed Special Event whose attendance is contemplated to exceed 200 people in total shall fequire final approval by the Village Council which, after considering the recommendations of the Community Development Director, the Police Chief and the Village Manager, may approve the application, deny the application in whole or in part, or approve the application with conditions. IS ALCOHOL BEING SERVED? (� )YES ( )NO • The service of alcoholic beverages at any Special Event shall require the issuance of the appropriate state alcoholic beverage permit,a copy of which must be provided to the Village in conjunction with the Special Event permit application. . The Village may require the use of physical barriers to define and contain the outdoor area within which alcoholic beverages may be consumed and/or the use of security or off-duty law enforcement personnel at the Special Event. • It is the applicant's responsibility to monitor for and prevent excessive as well as underage consumption of alcoholic beverages at all times. �Es�UES�'t� Pagelof2 Alo\/ O Q 2017 tV V � 1 FIR.F ��r''"AT�% INDEMNIFICATION: • By submitting a complete application,the Special Event holder/applicant and property owner(if different)expressly agree that they shall indemnify,defend and hold the Village harmless from any and all damage to any real or personal property, and from any and all injury or death suffered by any person directly or indirectly related to attendance at or participation in any activity in conjunction with the Special Event,including the consumption of alcoholic beverages. NON-PROFIT ENTERPRISES: • The Village may issue non-profit permits to any person or organization for the conduct or operation of occasional sales and/or fundraising projects held by non-profit enterprises, either regularly or temporarily, when the applicant signs an affidavit that the applicant operates without private profit, for a civic, public, charitable, youth, service, educational, literary,fraternal,or religious purpose. • A person making application under this section must comply with all rules and procedures for the granting of Special Event permits as set forth in this section. All persons operating under a non-profit permit shall operate their non-profit enterprise in compliance with this section and all other rules and regulations of the Village. THE FOLLOWING ITEMS ARE REQUIRED TO BE SUBMITTED AT TIME OF APPLICATION: • Proof of insurance in amounts acceptable to the Village for the type of event. The Village shall be named as an additional insured on all liability insurance. • Expected traffic,fire-rescue,and utilities impact,if any,and proposed mitigation plans. • Copy of all required state and county permits if event will be held on or utilize state and/or county-controlled property. • A refundable deposit is required if the event is held on any Village property. • Site Plan required with each application accompanied with drawing indicating layout for event. • All sale sites shall be left in a clean and orderly manner upon completion of sale. • Should the sale/event include the use of one or more tents,a$35.00 Fire Inspection Fee,due at time of application,and a certificate of flame resistance is required for each tent. Inspection to be done on the first day of event. SPECIAL EVENT FEES: • Under 200 attendees:$40.00. • Over 200 attendees:$100.00. SIGNATURE OF HOLDER/APPLICANT: t""�6�N� i'�'S�Z-�' DATE: j� /�' �— Print Name Signature SIGNATURE OF PROPERTY OWNER: DATE: Print Name Signature s�ssss:.*r:ss...:..s•�**�s***:*rsa:****�.+*ss*.s:**.r.�**�s*r**s*+*+.:+..*ss*r*r.+�*+».+:.:..** RECOMMEND F�R APPROVAL: � O COMMUNITY DEV.DIRECTOR: �.C�'V�^�` '" DATE: I� � f BUILDING DIRE OR: , DATE: POLICE CHIEF: � . � � � `' DATE: /��1'/ % FIRE CHIEF: DATE: ��J 3 I �" PARKS/RECREATION: DATE: APPROVED BY: VILLAGE MANAGER: DATE: Ap roval/Review Notes: � �1�'L I .�,�k NT W i L� t^'R V� ��c (��D,�t � ('NS��T��1U Gr- L'GIS� .e GL�CGri P�l 1'Y1 P�+"V�p �g- D�1 -� �ire 1� �� L` � / � � v �r('`.-l' ��ta . TI•l.v d L Ii�.: L,��i C t'ti �_c1iL,f�Li(�i(r ��'�� 4��'� October 16,2017 RE: Special Events Permit Village Square of Tequesta Tequesta,FL Dear Mr/Ms As owner of the Village Square of Tequesta,this letter hereby authorizes the Tequesta Brewery to host an Anniversaiy party at the property on Saturday, January 13�.If you have any questions/concerns relative to this Special Events Permit request,do not hesitate to contact us. Sincerely, RCMR JV LLC .cq� Alex Redfe ITS Manager 5�(- 3u— �� lance Lilly From: AY_FL_Prp_Mgmt <flprpmgmt@avisonyoung.com> Sent: Wednesday, November 8, 2017 8:14 AM To: AY_FL_Prp_Mgmt �c: Domenick Vitale(Avison Young); Fred Albright(Avison Young);Jon Ryan; Lance Lilly; Nilsa Zacarias Subject: FW:Village Square Shopping Center-Tequesta Attachments: Mimecast Attachment Protection Instructions;Tequesta Brewery Event Letter.pdf Mimecast Attachment Protection has deemed this file to be safe,but always exercise caution when opening files Good morning, For clarification purposes Tequesta Brewery is in the process of obtaining required permits and approvals with Town Council necessary for the Anniversary Party in January. Thank you. Domenick Vitale Senior Property Manager domenick.vitale�avisonyoung.com 312 Clematis Street Suite 500 West Palm Beach, FL 33401, USA D 561.721.7021 C 954.629.2547 After Haur Emergency 888.561.4088 or 800-670-3360 avisonyoung.com • ' ��C�OMI�PM�IIaF.S — -- --- ---- - - -- -- - -- -- - - — ------- -------- -------- —- --�-- ----- --- -—---- 0 � � m 0 � Avison Young—Florida,LLC Leaal Disdaimer Sent:Tuesday, November 07,2017 12:10 PM To:AY_Fl_Prp_Mgmt<flprpmgmt@avisonyoung.com> Cc: Domenick Vitale(Avison Youngj<domenick.vitale@avisonyoung.com>; Fred Albright(Avison Young) <Fred.Albright@avisonyoung.com> Subjed:Village Square Shopping Center-Tequesta 1 312 Clematis Street,Suite 500 � Intelligent Post Office Box 1625 RealEstate � Solutions West Palm Beach,FL 33402-1625 T 561.721.7000 F 561.721.7001 avisonyoung.com November 10,2017 Village Square Shopping Center e�sT 221 N. Federal Hwy �3 OM AGNIES Tequesta, FL Reference:General Notice of Tequesta Brewery Anniversary Party on Premises January 13th, 2018 2-11 p.m. Dear Tenants: New ownership is pleased and excited to share with you,the upcoming event referenced above.As in prior years, Tequesta Brewery Company ("TBC" or '?equesta Brewery") plans to open its doors to celebrate their anniversary by hosting a party filled with music,fun and a very friendly atmosphere. TBC is in the process of obtaining required permits and approvals with Town Council necessary for the Anniversary Party in January.The�Ilage Council will discuss this upcoming event at their workshop to be held on Monday, December 4�'at 6 PM at The Village Hall located at 345 Tequesta Drive,Tequesta, FL 33469. TBC will provide security, portable potty units and police. To accommodate the required temporary equipment,Tequesta Brewery will cordon off 11 parking spaces with low impact white fence within the Plaza to host their event. The fence and portable units will be setup on the day before the event and removed by that evening. To maximize the parking availability for ALL, we recommend ALL tenanis and employees park their vehicles in the rear of the Plaza, or even car pool for that day if possible. This event not only benefits Tequesta Brewery, but it also raises recognition and awareness for ALL Tenants in the Plaza. Why not take the opportunity by doing something special to promote your business that day as well? Let's all embrace this event with optimism, excitement, and most of all the opportunity for all in the community to come,enjoy,and share in this day! Thank you. Best Regards, �%�� Domenick Vitale Sr. Property Manager Avison Young Property Management(USA), LLC cc: RCMR JV LLC cc: Lance Lilly �� ,�� c�,�� i�'� o P� ��; �ra�u-sj �'°'`�°��( 3, �� w,+x.'�,-s`�'s'a 2� �eaj �-� --�------�----- -----------�-----.. _------ -------------- ---- -- ----- ----- ---- -- -- -------- - ------ -- - — —:, — --:a-v—•,;- _- --"�:.—�: -!- — -- -- --- — - - -- �rt n�rn`:�ii�ri�r,��,-r�Y�r.' --...:_.L.:--•__._,. .. ...• �'� � : �...�.:t,r�E �:� , >;:;..,.-- - --- -'- --- -__��:��,---- ---�--� -- -- -- , -,--- -� '�� _�: � 3= .* • f. _ _ � T- - „ -., ��,� ., "S;?a;e� ' i. _ � -_- . ' � f�'"��J�� , '! � r.: . _ . . � ,�� i: ��. -._:.�, - i "'_` - •"i� _ .�..f`� �/ a�� t�J , `( r ;�...��. —��-�...........�-•---•--••�• — . " � TI.J �'-'�� s,''�-'".�.�'ss..� �•'"' '• '•_,:"�' . ; i .�:. Z '" _G" : ; �t�i 1::�:K%:r � . :._._..��'_��'�`�-� k�:"`<- I ' • �� p�.•�.. :: " �S:�} �� • L1 _ � �_ ��t-a )�� I �� ;'•# " 1 1 1. :'I .`-��: �� '._- ' ��1 � . 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THIS CERTIFlCATE OF INSURANCE DOES NOT CONSTIME A CON7RACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFlCATE HOLDER. IMPORTANT: H the certiflcate holder is an ADDITIONAL INSURED,the poticy(fes)must have ADDITIONAL INSURED provisions or be endorsed. H SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,ccrtain poUcies may require an endorsemeM. A statement on this certificate does not confer hts to tl�e xrfificate holder in Iiau of such endorseme s. vtioout� Ucense� L096492 ncr Flenderson Insurance P�NE �: 561 549-9113 � No:561 549-9114 500 S.Australian Avenue S„�649 . le(�khendersoninsurance.com West Palm Beach,FL 33401 tNSUR S AFFORDMIO COVERAG NAIC� irosua�n:Massachusetts Ba Insurance Com n 22306 �Nsur�n �Nsur�a s:BuslnessFrst Insurance Com an 11697 Tequesta BreMrery LLC iNsu�a c: 287 S US HMI)/1 INSURER D: Tequesta,FL 33469 �NSURER E: INSURER F: VERA ES CERTIFI ATE ER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTIMTHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTPJN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. IXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CIAIMS. � TYPE OF qiSURANCE DDL SUBR POLICY NUNBER POLICY EFF LJMRS A X COMMEHCIAL(iENERAL IJABH.ITY CH OCCURRENCE �'�'�� CLAIMS�MDE �OCCUR Rp,J9$�Q Ol/07/2017 Ol/d7/201$ GE TO RENTED �QQ�QQQ X Uquor Liabiiity MED EXP ans S ��'�� X Hired Non-Owned Auto —1 aeRsoruLL a anv irwuxr s 1�� GEN'L AGGREGATE LIMR APPLIES PER: / OENERAL AGGREGATE 2'��'� X POLICY�j�� LOC �/ PRODUCTS-COMP/OP AGG S 2'�'� OTHER �� G��[ S AUiOMOBILE UABILJTY COMBINED SINGLE LIMIT s ANY AUTO BODILY INJURY Per �OS ONLY AUTOS�� BODILY INJURY Per aaidxit S AUTOS ONLY AUTOS ONLY ��GE _ E UMBRELLA W18 OCCUR EACH OCCURRENCE S D(CESS LJAB CWMS�AADE � AGGREGATE S DED RETENTION S B WORKERS COMPENSATION X PER OTH- AND EMPLOYERS'llA&LRY ANYPROPRIETgO�R�IPARTNER/El(ECUTIVE Y❑ N/A 21-06561 O7/13/'�117 Ol/1�Z�18 E.LEACHACCIDENT S ��,�� (��F��)EXCLUDED? �(�� E.L DISEASE-EA EMPIOYE S DESCRI�O�OPERATIONS bebw E.L DISEASE-PO ICY UMfT �'�� DESC WPTION OF OPERATIONS/LOCATIONS/VEMICLES(ACORD 107,AtldidaW Ramuks SehMule,maY be Mmel�sd tt more epeca b require� CER7IFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE E7�IRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Village of Tequesta ACCORDANCE WITH THE POUCY PROVISIONS. 345 Tequesta DNve Tequesta,FL 33469 AUTHOR�D REPRESENrATNE � ACORD 25(2016103) m 1988-2015 ACORO CORPORATION. AII righis reserved. The ACORD name and logo are registiered marks of ACORD ( « � CerMficate of Flame Resistance - ISSUC-0BY: �p�-('�pgpORATION ��„ 5709,26Q2I,SEONGDON�GU, 6annart�uM�ar SEOIII„133-832,KORFA oaertredeexmmudaenme� �O1T.01 � ' JIJIY 2014 ih[s isto ce�y 8wt the matedtds•desedbed on 8�e reverse side 6ave be@n he�ed wi8�cflame-retardaifi chemiea[-a eae�ufe�enqy � � ECONOMY TENT I�ITERNATiONAL Rpp�; 2995 N.W.75th STREEC cny.: MIAI�I � FL 3:3147 • Cer�ico5ai•"at�erebYmadethak ((�reck"a"a'�a"� . � (a) fie a�tides descY@�ed on ihe�r�tse.sidenf3fi6.Ce�ade hwe been ire�edwfth a:flame-�dant cherriicd . aav�'�+d�!9�+br e��atd'E�e.Ti►orsn.d ana 9�e.��pGcn6on of said�csenrccl•wcd aone�in�od«a[�ce � wHh#he bwr�o}itio Sfate d Cdda�rtta.mid��ROMs and R�giAdioris cf�s Stal�FtrriWersiql Name deh�3eal ux� Ghemicd$e9khaGon� . 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P�g.2atz _ : ; � DBPR ABT�—Division of Akohoitc Beve�and Tobacco ' ApPlication for Extension or Amended Sketch of Ucensed Premises STATE OF FLaRIDA DBpR Form DEPARTNENT OF BUSINESS AND PROFESStONAL REGULATION ABT-6028 Revised Q21Z013 Ifyou have anyquestlons orneed assistanae In Qompleting th�s application,Please oa�act the Division of Alovf►oik Beverages&Tobaxo's(A68n/oc�dfstrict of�ce. P/ease submd your completed applkabon and req�uired f�ie(s)to your/oca/dlsfr�ct ofF'rce. This applkafior+may 6e submftted by mall,throelgh appoJntmen�or�can be dropped off. A Dis�ct Office Addrass and Coniact lnformation Sheet can be found on AB&Ts wosb sJte at tfte link provided belaw: htta://www.mvfloridalicense.com/dbpr/abt/districE offices/licensinq html SECTION 1 -CHECK TRANSACTION REQUESTED Transaction Type: • . � Temporary Extension ❑ Amended Sketch Pem�anent Extension . SECTION 2-LICENSE INFORIOATION Licensee(as listed on alcoholic beverage lice�se) T � Brewin Cam Business Name(D/BIA) Location Address(Street) 287 S. ' wa 1 C�Y County State Z�p Code T esfia Patm Beach FL 9 Ak�holic Beverage License Number Se�es Type/Class BEV 5�2 2COP Business Telephorte Number Emai{Address(Optionaq 56 45 5000 exk ma ' .com FOR TEAAPORARYEXTPNS/ONS ONLY: Date(s)of Extension: m is/zms ABT Dls�ricE Offke Received i Dat�Stamp aum.s�a�.00iT 1 SECTION 3-zo�aPr�ova� TO BE COeAPLETED BY THE 20NING AUTHORRY GOVERNING YOUR BUSINESS LOCATION is section on to a nt or tiem extension of Ncensed rem�es Location Sbeet Address 287 S.US H h 1 C�y CouMy Zip Code T �� P Be�a FL 33469 Ar+e there outside areas which are contiguous to the premise.s which are bo be part of the premises sought tio be licensed?' �Yes ❑ No ❑ The PERNIANENT exbension of the ficensed premises as shown in the sketch complies with mrung �equi�nerrts for the sale of alcoholic beverages pursuant M this application. � The TEMPORARY exbension of the licensed premises as shown in the sketch comp6es with zoning requiremer+ts fior the sale of alcoholic bever�qes pursuant to this appiication. Sgned: Title: Dabe: This approval is vaitd untit SECTION 4-HEALTH TO BE COIIiPLETED BY THE DMSION OF HOTELB AND RESTAURANTS OR COUNTY HEALTH AUTHORiTY OR DEPARTMENT OF HEALTH OR DEPARTMENT OF AGRfCULTURE�CONSUBlIER SERVICES The above establishment complies with the requi�nents of the Fiorida Sanitary Code. Signed �te Tide qqency This approval is valld ut�til Aulh.61A-6.0017 2 SECTION 5-AFFlDAVtT OF'14PPLICANT ' NOTARIZATION REQWRED Business Name(DB/A) �T�t�.� � G� °I,the�tdersigned individually,or if a t+egistened legaf er�iiy for itself,r�s ofiicers�d directors,he�eby sw�ear or affmn that I am duly author¢ed to make the above and for�egoing apptication and,as such, I hereby sw�r or affirm that the attached sketch is a true and cor�ct representatlon of the ex6ended lioensed premises and agree that the ptace of business may be inspecbed and searched during Lwslness hours or at any tlme business is being conducbed on the premises vuithout a se�ch warrant by officers of the DN►ision of Alcoholic Beverages and Tobacco�the sherifF,his depuaes,and police officers f+or the purposes of determining complianoe w'tth the beverage and agaretbe laws.° . !swear under oath or affirmation under penalty of perjury as provided for in Sections 559.791,56245 and 837.06, Florida Statutes that the foregoi�informafion is true and comect.' If applying fo�a ternporary ex�ensicn,check the box to confl�m the foifowing statemen� � "t understand that the prernlses must be nesbond bo its origlnal form at the conclusion of the authorized temporary eventA STATE OF�DYI� , � � �� COUNTY OF �(�•��1.� � Nly oomm.ex�s�b.��.2ma � ,r... .�.-.-< •., ' . ' APPLICANT SIGNATURE APPLICANT SIGNATURE The foregoing was(�wom to and Subscribed OR( )AcKnowiedged Before me this�,_Day of • 20�� By ��lw� �A�Q.�n'�r�-� who is(�rsonaliy (Prir�t name(S)Of Person(s)making stabement) known to me OR( )who produced as idenfiYcation. r Commission F�ires: �P� [7 ?,.,,�� P ic Auth.61A-6.001T 3 � SECTION 6-DESCRIP7'!�N OF PREWISES TO BE L�ENSED " Business Name(D1B/A) • ��s Qew 6 P 1. Yes O No� Is the movabl or able to be mcved? 2. Yes ❑ No� Is there any access through the premises to any area over which you do not have dominion and control? 3. Yes ❑ No� �there more than 3 separate rooms o�encbsures with permaner�t bars or counters? 4. Y� ❑ �� Is the business locxted within a Spedalty Centert If yes,chedc the applicabie statute: ❑ 561.20(2)(b)1,F.S.or❑ 561.20(2)(b)2,F.S. Neatly draw a floor pNcm of the premises in iric.induding sidewaqcs and oiher oulside areas whtch�e co�diguous to the pt+emises,waAs,doors,counters,sales araas.s4orage areas,restrooms�ber loc�tions and any a�her specific areas which are part of the p�mises sought to be 6censed. A multi-story bw'Idmg where the errtir�s b�d'mg is to be I'icensed must show the detals of each floor. '�� . "�� c�� _.�,y �`'� N��C,�M � �,.. r. 2 � � 7 �� — � �� 'a �. � a � �� ' � � � � �� J `� nC� �J � °�, �p��-S � �� -��M��S � Autb.61A-6.00i7 4 Village of Tequesta 345 Tequesta Drive Tequesta, FL 33469 Ph: (561) 768-0700 Fax: Pay by Aacount Ia Ehll MATTHEW WEBSTER ��I��I�� TOTAL A�OIINT DIIS � $ 100.00 Pay bp Iavoice Code Type Record No. Iavoice No_ Addresa Amouat Du III�IWIqq1I��I�IIIIDIII� permit PSEPl7-1010 00000688 287 S US HIGHWAY 1 $ 300.00 Effective Date: 10/20/2017 Amotmt Cost: $100.00 Total Amount Due $ 100.00